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Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical StudentsA Systematic Review and Meta-Analysis

Educational Objective
To review the prevalence of depression and suicidal ideation among medical students.
1 Credit CME
Key Points

Question  Are medical students at high risk for depression and suicidal ideation?

Findings  In this meta-analysis, the overall prevalence of depression or depressive symptoms among medical students was 27.2%, and the overall prevalence of suicidal ideation was 11.1%. Among medical students who screened positive for depression, 15.7% sought psychiatric treatment.

Meaning  The overall prevalence of depressive symptoms among medical students in this study was higher than that reported in the general population, which underscores the need for effective preventive efforts and increased access to care for medical students.

Abstract

Importance  Medical students are at high risk for depression and suicidal ideation. However, the prevalence estimates of these disorders vary between studies.

Objective  To estimate the prevalence of depression, depressive symptoms, and suicidal ideation in medical students.

Data Sources and Study Selection  Systematic search of EMBASE, ERIC, MEDLINE, psycARTICLES, and psycINFO without language restriction for studies on the prevalence of depression, depressive symptoms, or suicidal ideation in medical students published before September 17, 2016. Studies that were published in the peer-reviewed literature and used validated assessment methods were included.

Data Extraction and Synthesis  Information on study characteristics; prevalence of depression or depressive symptoms and suicidal ideation; and whether students who screened positive for depression sought treatment was extracted independently by 3 investigators. Estimates were pooled using random-effects meta-analysis. Differences by study-level characteristics were estimated using stratified meta-analysis and meta-regression.

Main Outcomes and Measures  Point or period prevalence of depression, depressive symptoms, or suicidal ideation as assessed by validated questionnaire or structured interview.

Results  Depression or depressive symptom prevalence data were extracted from 167 cross-sectional studies (n = 116 628) and 16 longitudinal studies (n = 5728) from 43 countries. All but 1 study used self-report instruments. The overall pooled crude prevalence of depression or depressive symptoms was 27.2% (37 933/122 356 individuals; 95% CI, 24.7% to 29.9%, I2 = 98.9%). Summary prevalence estimates ranged across assessment modalities from 9.3% to 55.9%. Depressive symptom prevalence remained relatively constant over the period studied (baseline survey year range of 1982-2015; slope, 0.2% increase per year [95% CI, −0.2% to 0.7%]). In the 9 longitudinal studies that assessed depressive symptoms before and during medical school (n = 2432), the median absolute increase in symptoms was 13.5% (range, 0.6% to 35.3%). Prevalence estimates did not significantly differ between studies of only preclinical students and studies of only clinical students (23.7% [95% CI, 19.5% to 28.5%] vs 22.4% [95% CI, 17.6% to 28.2%]; P = .72). The percentage of medical students screening positive for depression who sought psychiatric treatment was 15.7% (110/954 individuals; 95% CI, 10.2% to 23.4%, I2 = 70.1%). Suicidal ideation prevalence data were extracted from 24 cross-sectional studies (n = 21 002) from 15 countries. All but 1 study used self-report instruments. The overall pooled crude prevalence of suicidal ideation was 11.1% (2043/21 002 individuals; 95% CI, 9.0% to 13.7%, I2 = 95.8%). Summary prevalence estimates ranged across assessment modalities from 7.4% to 24.2%.

Conclusions and Relevance  In this systematic review, the summary estimate of the prevalence of depression or depressive symptoms among medical students was 27.2% and that of suicidal ideation was 11.1%. Further research is needed to identify strategies for preventing and treating these disorders in this population.

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Article Information

Corresponding Author: Douglas A. Mata, MD, MPH, Division of MPE Molecular Pathological Epidemiology, Department of Pathology, Brigham and Women’s Hospital, Brigham Education Institute, Harvard Medical School, 75 Francis St, Boston, MA 02115 (dmata@bwh.harvard.edu).

Author Contributions: Dr Mata had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the analysis. Ms Rotenstein, Messrs Ramos and Segal, and Dr Torre are equal contributors.

Concept and design: Mata.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Mata.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Mata.

Obtained funding: Guille, Sen, Mata.

Administrative, technical, or material support: Guille, Sen, Mata.

Study supervision: Guille, Sen, Mata.

Conflict of Interest Disclosures: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

Funding/Support: Funding was provided by the National Institutes of Health (MSTP TG 2T32GM07205 awarded to Mr Ramos and grant R01MH101459 awarded to Dr Sen) and the US Department of State (Fulbright Scholarship awarded to Dr Mata).

Role of the Funder/Sponsor: The National Institutes of Health and the US Department of State had no role in the design and conduct of the study; the collection, management, analysis, or interpretation of the data; the preparation, review, or approval of the manuscript; or the decision to submit the manuscript for publication.

Disclaimer: The opinions, results, and conclusions reported in this article are those of the authors and are independent from the National Institutes of Health and the US Department of State.

References
1.
Dyrbye  LN, Thomas  MR, Shanafelt  TD.  Systematic review of depression, anxiety, and other indicators of psychological distress among US and Canadian medical students.  Acad Med. 2006;81(4):354-373.PubMedGoogle ScholarCrossref
2.
Prinz  P, Hertrich  K, Hirschfelder  U, de Zwaan  M.  Burnout, depression and depersonalisation—psychological factors and coping strategies in dental and medical students.  GMS Z Med Ausbild. 2012;29(1):Doc10.PubMedGoogle Scholar
3.
Supe  AN.  A study of stress in medical students at Seth G S Medical College.  J Postgrad Med. 1998;44(1):1-6.PubMedGoogle Scholar
4.
Wan  YH, Gao  R, Tao  XY, Tao  FB, Hu  CL.  Relationship between deliberate self-harm and suicidal behaviors in college students [in Chinese].  Zhonghua Liu Xing Bing Xue Za Zhi. 2012;33(5):474-477.PubMedGoogle Scholar
5.
Osama  M, Islam  MY, Hussain  SA,  et al.  Suicidal ideation among medical students of Pakistan: a cross-sectional study.  J Forensic Leg Med. 2014;27:65-68.PubMedGoogle ScholarCrossref
6.
Yang  F, Meng  H, Chen  H,  et al.  Influencing factors of mental health of medical students in China.  J Huazhong Univ Sci Technolog Med Sci. 2014;34(3):443-449.PubMedGoogle ScholarCrossref
7.
Guerrero López  JB, Heinze Martin  G, Ortiz de León  S, Cortés Morelos  J, Barragán Pérez  V, Flores-Ramos  M.  Factors that predict depression in medical students [in Spanish].  Gac Med Mex. 2013;149(6):598-604.PubMedGoogle Scholar
8.
Al-Faris  EA, Irfan  F, Van der Vleuten  CP,  et al.  The prevalence and correlates of depressive symptoms from an Arabian setting: a wake up call.  Med Teach. 2012;34(suppl 1):S32-S36.PubMedGoogle ScholarCrossref
9.
Bayati  A, Beigi  M, Salehi  M.  Depression prevalence and related factors in Iranian students.  Pak J Biol Sci. 2009;12(20):1371-1375.PubMedGoogle ScholarCrossref
10.
Haglund  ME, aan het Rot  M, Cooper  NS,  et al.  Resilience in the third year of medical school: a prospective study of the associations between stressful events occurring during clinical rotations and student well-being.  Acad Med. 2009;84(2):258-268.PubMedGoogle ScholarCrossref
11.
Khan  MS, Mahmood  S, Badshah  A, Ali  SU, Jamal  Y.  Prevalence of depression, anxiety and their associated factors among medical students in Karachi, Pakistan.  J Pak Med Assoc. 2006;56(12):583-586.PubMedGoogle Scholar
12.
Shanafelt  TD, Sloan  JA, Habermann  TM.  The well-being of physicians.  Am J Med. 2003;114(6):513-519.PubMedGoogle ScholarCrossref
13.
Mata  DA, Ramos  MA, Bansal  N,  et al.  Prevalence of depression and depressive symptoms among resident physicians: a systematic review and meta-analysis.  JAMA. 2015;314(22):2373-2383.PubMedGoogle ScholarCrossref
14.
Moher  D, Liberati  A, Tetzlaff  J, Altman  DG; PRISMA Group.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.  Open Med. 2009;3(3):e123-e130.PubMedGoogle Scholar
15.
Stroup  DF, Berlin  JA, Morton  SC,  et al; Meta-analysis Of Observational Studies in Epidemiology (MOOSE) Group.  Meta-analysis of observational studies in epidemiology: a proposal for reporting.  JAMA. 2000;283(15):2008-2012.PubMedGoogle ScholarCrossref
16.
Kerr  LK, Kerr  LD  Jr.  Screening tools for depression in primary care: the effects of culture, gender, and somatic symptoms on the detection of depression.  West J Med. 2001;175(5):349-352.PubMedGoogle ScholarCrossref
17.
Stang  A.  Critical evaluation of the Newcastle-Ottawa Scale for the assessment of the quality of nonrandomized studies in meta-analyses.  Eur J Epidemiol. 2010;25(9):603-605.PubMedGoogle ScholarCrossref
18.
Borenstein  M, Hedges  LV, Higgins  JPT, Rothstein  HR.  A basic introduction to fixed-effect and random-effects models for meta-analysis.  Res Synth Methods. 2010;1(2):97-111.PubMedGoogle ScholarCrossref
19.
Higgins  JPT, Thompson  SG.  Quantifying heterogeneity in a meta-analysis.  Stat Med. 2002;21(11):1539-1558.PubMedGoogle ScholarCrossref
20.
Higgins  JPT, Thompson  SG, Deeks  JJ, Altman  DG.  Measuring inconsistency in meta-analyses.  BMJ. 2003;327(7414):557-560.PubMedGoogle ScholarCrossref
21.
Sterne  JAC, Jüni  P, Schulz  KF, Altman  DG, Bartlett  C, Egger  M.  Statistical methods for assessing the influence of study characteristics on treatment effects in “meta-epidemiological” research.  Stat Med. 2002;21(11):1513-1524.PubMedGoogle ScholarCrossref
22.
van Houwelingen  HC, Arends  LR, Stijnen  T.  Advanced methods in meta-analysis: multivariate approach and meta-regression.  Stat Med. 2002;21(4):589-624.PubMedGoogle ScholarCrossref
23.
Egger  M, Davey Smith  G, Schneider  M, Minder  C.  Bias in meta-analysis detected by a simple, graphical test.  BMJ. 1997;315(7109):629-634.PubMedGoogle ScholarCrossref
24.
Sterne  JAC, Egger  M.  Funnel plots for detecting bias in meta-analysis: guidelines on choice of axis.  J Clin Epidemiol. 2001;54(10):1046-1055.PubMedGoogle ScholarCrossref
25.
R Core Team.  R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing; 2015.
26.
Kumar  GS, Jain  A, Hegde  S.  Prevalence of depression and its associated factors using Beck Depression Inventory among students of a medical college in Karnataka.  Indian J Psychiatry. 2012;54(3):223-226.PubMedGoogle ScholarCrossref
27.
Abdel Wahed  WY, Hassan  SK.  Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students [published online February 20, 2016].  Alex J Med. doi:10.1016/j.ajme.2016.01.005Google Scholar
28.
Adamiak  G, Swiatnicka  E, Wołodźko-Makarska  L, Switalska  MJ.  Assessment of quality of life of medical students relative to the number and intensity of depressive symptoms [in Polish].  Psychiatr Pol. 2004;38(4):631-638.PubMedGoogle Scholar
29.
Aghakhani  N, Sharif Nia  H, Eghtedar  S, Rahbar  N, Jasemi  M, Mesgar Zadeh  M.  Prevalence of depression among students of Urmia University of Medical Sciences (Iran).  Iran J Psychiatry Behav Sci. 2011;5(2):131-135.PubMedGoogle Scholar
30.
Ahmed  I, Banu  H, Al-Fageer  R, Al-Suwaidi  R.  Cognitive emotions: depression and anxiety in medical students and staff.  J Crit Care. 2009;24(3):e1-e7.PubMedGoogle ScholarCrossref
31.
Akbari  V, Hajian  A, Damirchi  P.  Prevalence of emotional disorders among students of University of Medical Sciences; Iran.  Open Psychol J. 2014;7:29-32.Google ScholarCrossref
32.
Akvardar  Y, Demiral  Y, Ergör  G, Ergör  A, Bilici  M, Akil Ozer  O.  Substance use in a sample of Turkish medical students.  Drug Alcohol Depend. 2003;72(2):117-121.PubMedGoogle ScholarCrossref
33.
Akvardar  Y, Demiral  Y, Ergor  G, Ergor  A.  Substance use among medical students and physicians in a medical school in Turkey.  Soc Psychiatry Psychiatr Epidemiol. 2004;39(6):502-506.PubMedGoogle ScholarCrossref
34.
Alexandrino-Silva  C, Pereira  MLG, Bustamante  C,  et al.  Suicidal ideation among students enrolled in healthcare training programs: a cross-sectional study.  Rev Bras Psiquiatr. 2009;31(4):338-344.PubMedGoogle ScholarCrossref
35.
AlFaris  EA, Naeem  N, Irfan  F, Qureshi  R, van der Vleuten  C.  Student centered curricular elements are associated with a healthier educational environment and lower depressive symptoms in medical students.  BMC Med Educ. 2014;14:192.PubMedGoogle ScholarCrossref
36.
Ali  FA, Javed  N, Manzur  F.  Anxiety and depression among medical students during exams.  Pak J Med Health Sci. 2015;9(1):119-122.Google Scholar
37.
Ali  RV, Vankar  GK.  Psychoactive substance use among medical students.  Indian J Psychiatry. 1994;36(3):138-140.PubMedGoogle Scholar
38.
Alvi  T, Assad  F, Ramzan  M, Khan  FA.  Depression, anxiety and their associated factors among medical students.  J Coll Physicians Surg Pak. 2010;20(2):122-126.PubMedGoogle Scholar
39.
Amaral  GF do, Gomide  LM de P, Batista  M de P,  et al.  Depressive symptoms in medical students of Universidade Federal de Goiás: a prevalence study [in Portuguese].  Rev Psiquiatr RS. 2008;30(2):124-130.Google Scholar
40.
Amir  M, El Gillany  AH.  Self-reported depression and anxiety by students at an Egyptian medical school.  J Pak Psychiatr Soc. 2010;7(2):71.Google Scholar
41.
Angkurawaranon  C, Jiraporncharoen  W, Sachdev  A, Wisetborisut  A, Jangiam  W, Uaphanthasath  R.  Predictors of quality of life of medical students and a comparison with quality of life of adult health care workers in Thailand.  Springerplus. 2016;5:584.PubMedGoogle ScholarCrossref
42.
Aniebue  PN, Onyema  GO.  Prevalence of depressive symptoms among Nigerian medical undergraduates.  Trop Doct. 2008;38(3):157-158.PubMedGoogle ScholarCrossref
43.
Ashor  AW.  Smoking dependence and common psychiatric disorders in medical students: cross-sectional study.  Pak J Med Sci. 2012;28(4):670-674.Google Scholar
44.
Ashton  CH, Kamali  F.  Personality, lifestyles, alcohol and drug consumption in a sample of British medical students.  Med Educ. 1995;29(3):187-192.PubMedGoogle ScholarCrossref
45.
Aziz  NAHA, Al-Muwallad  OK, Mansour  EAK.  Neurotic depression and chocolate among female medical students at College of Medicine, Taibah University Almadinah Almunawwarah, Kingdom of Saudi Arabia.  J Taibah Univ Med Sci. 2011;6(2):139-147.Google Scholar
46.
Yusoff  MSB, Rahim  AFA, Yaacob  MJ.  The prevalence of final year medical students with depressive symptoms and its contributing factors.  Int Med J. 2011;18(4):305-309.Google Scholar
47.
Baldassin  S, Alves  TC, de Andrade  AG, Nogueira Martins  LA.  The characteristics of depressive symptoms in medical students during medical education and training: a cross-sectional study.  BMC Med Educ. 2008;8:60.PubMedGoogle ScholarCrossref
48.
Basnet  B, Jaiswal  M, Adhikari  B, Shyangwa  PM.  Depression among undergraduate medical students.  Kathmandu Univ Med J (KUMJ). 2012;10(39):56-59.PubMedGoogle Scholar
49.
Bassols  AM, Okabayashi  LS, Silva  AB,  et al.  First- and last-year medical students: is there a difference in the prevalence and intensity of anxiety and depressive symptoms?  Rev Bras Psiquiatr. 2014;36(3):233-240.PubMedGoogle ScholarCrossref
50.
Baykan  Z, Naçar  M, Cetinkaya  F.  Depression, anxiety, and stress among last-year students at Erciyes University Medical School.  Acad Psychiatry. 2012;36(1):64-65.PubMedGoogle ScholarCrossref
51.
Berner  JE, Santander  J, Contreras  AM, Gómez  T.  Description of internet addiction among Chilean medical students: a cross-sectional study.  Acad Psychiatry. 2014;38(1):11-14.PubMedGoogle ScholarCrossref
52.
Bore  M, Kelly  B, Nair  B.  Potential predictors of psychological distress and well-being in medical students: a cross-sectional pilot study.  Adv Med Educ Pract. 2016;7:125-135.PubMedGoogle ScholarCrossref
53.
Bunevicius  A, Katkute  A, Bunevicius  R.  Symptoms of anxiety and depression in medical students and in humanities students: relationship with big-five personality dimensions and vulnerability to stress.  Int J Soc Psychiatry. 2008;54(6):494-501.PubMedGoogle ScholarCrossref
54.
Carter  FA, Bell  CJ, Ali  AN, McKenzie  J, Wilkinson  TJ.  The impact of major earthquakes on the psychological functioning of medical students: a Christchurch, New Zealand study.  N Z Med J. 2014;127(1398):54-66.PubMedGoogle Scholar
55.
Castaldelli-Maia  JM, Martins  SS, Bhugra  D,  et al.  Does ragging play a role in medical student depression: cause or effect?  J Affect Disord. 2012;139(3):291-297.PubMedGoogle ScholarCrossref
56.
Chan  DW.  Depressive symptoms and depressed mood among Chinese medical students in Hong Kong.  Compr Psychiatry. 1991;32(2):170-180.PubMedGoogle ScholarCrossref
57.
Chan  DW.  Coping with depressed mood among Chinese medical students in Hong Kong.  J Affect Disord. 1992;24(2):109-116.PubMedGoogle ScholarCrossref
58.
Chandavarkar  U, Azzam  A, Mathews  CA.  Anxiety symptoms and perceived performance in medical students.  Depress Anxiety. 2007;24(2):103-111.PubMedGoogle ScholarCrossref
59.
Chang  E, Eddins-Folensbee  F, Coverdale  J.  Survey of the prevalence of burnout, stress, depression, and the use of supports by medical students at one school.  Acad Psychiatry. 2012;36(3):177-182.PubMedGoogle ScholarCrossref
60.
Choi  J, Son  SL, Kim  SH, Kim  H, Hong  J-Y, Lee  M-S.  The prevalence of burnout and the related factors among some medical students in Korea [in Korean].  Korean J Med Educ. 2015;27(4):301-308.PubMedGoogle ScholarCrossref
61.
Costa  EF, Santana  YS, Santos  ATR, Martins  LA, Melo  EV, Andrade  TM.  Depressive symptoms among medical intern students in a Brazilian public university [in Portuguese].  Rev Assoc Med Bras (1992). 2012;58(1):53-59.PubMedGoogle ScholarCrossref
62.
Dahlin  M, Joneborg  N, Runeson  B.  Stress and depression among medical students: a cross-sectional study.  Med Educ. 2005;39(6):594-604.PubMedGoogle ScholarCrossref
63.
Dahlin  M, Nilsson  C, Stotzer  E, Runeson  B.  Mental distress, alcohol use and help-seeking among medical and business students: a cross-sectional comparative study.  BMC Med Educ. 2011;11:92.PubMedGoogle ScholarCrossref
64.
David  MA, Hamid Hashmi  SS.  Study to evaluate prevalence of depression, sleep wake pattern and their relation with use of social networking sites among first year medical students.  Int J Pharma Med Biol Sci. 2013;2(1):27-31.Google Scholar
65.
de Melo Cavestro  J, Rocha  FL.  Depression prevalence among university students [in Spanish].  J Bras Psiquiatr. 2006;55(4):264-267.Google ScholarCrossref
66.
Leão  PB, Martins  LA, Menezes  PR, Bellodi  PL.  Well-being and help-seeking: an exploratory study among final-year medical students.  Rev Assoc Med Bras (1992). 2011;57(4):379-386.PubMedGoogle ScholarCrossref
67.
De Sousa Lima  L, Ferry  V, Martins Fonseca  RN,  et al.  Depressive symptoms among medical students of the State University of Maranhão.  Revista Neurociências. 2010;18(1):8-12.Google Scholar
68.
Dyrbye  LN, Eacker  A, Durning  SJ,  et al.  The impact of stigma and personal experiences on the help-seeking behaviors of medical students with burnout.  Acad Med. 2015;90(7):961-969.PubMedGoogle ScholarCrossref
69.
Dyrbye  LN, Massie  FS  Jr, Eacker  A,  et al.  Relationship between burnout and professional conduct and attitudes among US medical students.  JAMA. 2010;304(11):1173-1180.PubMedGoogle ScholarCrossref
70.
Dyrbye  LN, Moutier  C, Durning  SJ,  et al.  The problems program directors inherit: medical student distress at the time of graduation.  Med Teach. 2011;33(9):756-758.PubMedGoogle ScholarCrossref
71.
Dyrbye  LN, Thomas  MR, Eacker  A,  et al.  Race, ethnicity, and medical student well-being in the United States.  Arch Intern Med. 2007;167(19):2103-2109.PubMedGoogle ScholarCrossref
72.
Dyrbye  LN, Thomas  MR, Huntington  JL,  et al.  Personal life events and medical student burnout: a multicenter study.  Acad Med. 2006;81(4):374-384.PubMedGoogle ScholarCrossref
73.
Dyrbye  LN, Thomas  MR, Massie  FS,  et al.  Burnout and suicidal ideation among US medical students.  Ann Intern Med. 2008;149(5):334-341.PubMedGoogle ScholarCrossref
74.
Dyrbye  LN, West  CP, Satele  D,  et al.  Burnout among US medical students, residents, and early career physicians relative to the general US population.  Acad Med. 2014;89(3):443-451.PubMedGoogle ScholarCrossref
75.
El-Gilany  AH, Amr  M, Hammad  S.  Perceived stress among male medical students in Egypt and Saudi Arabia: effect of sociodemographic factors.  Ann Saudi Med. 2008;28(6):442-448.PubMedGoogle ScholarCrossref
76.
Farahangiz  S, Mohebpour  F, Salehi  A.  Assessment of mental health among Iranian medical students: a cross-sectional study.  Int J Health Sci (Qassim). 2016;10(1):49-55.PubMedGoogle Scholar
77.
Ghodasara  SL, Davidson  MA, Reich  MS, Savoie  CV, Rodgers  SM.  Assessing student mental health at the Vanderbilt University School of Medicine.  Acad Med. 2011;86(1):116-121.PubMedGoogle ScholarCrossref
78.
Givens  JL, Tjia  J.  Depressed medical students’ use of mental health services and barriers to use.  Acad Med. 2002;77(9):918-921.PubMedGoogle ScholarCrossref
79.
Goebert  D, Thompson  D, Takeshita  J,  et al.  Depressive symptoms in medical students and residents: a multischool study.  Acad Med. 2009;84(2):236-241.PubMedGoogle ScholarCrossref
80.
Gold  JA, Johnson  B, Leydon  G, Rohrbaugh  RM, Wilkins  KM.  Mental health self-care in medical students: a comprehensive look at help-seeking.  Acad Psychiatry. 2015;39(1):37-46.PubMedGoogle ScholarCrossref
81.
Güleç  M, Bakir  B, Ozer  M, Uçar  M, Kiliç  S, Hasde  M.  Association between cigarette smoking and depressive symptoms among military medical students in Turkey.  Psychiatry Res. 2005;134(3):281-286.PubMedGoogle ScholarCrossref
82.
Gupta  S, Basak  P.  Depression and type D personality among undergraduate medical students.  Indian J Psychiatry. 2013;55(3):287-289.PubMedGoogle ScholarCrossref
83.
Hardeman  RR, Przedworski  JM, Burke  SE,  et al.  Mental well-being in first year medical students: a comparison by race and gender: a report from the medical student CHANGE study.  J Racial Ethn Health Disparities. 2015;2(3):403-413.PubMedGoogle ScholarCrossref
84.
Helmers  KF, Danoff  D, Steinert  Y, Leyton  M, Young  SN.  Stress and depressed mood in medical students, law students, and graduate students at McGill University.  Acad Med. 1997;72(8):708-714.PubMedGoogle ScholarCrossref
85.
Hendryx  MS, Haviland  MG, Shaw  DG.  Dimensions of alexithymia and their relationships to anxiety and depression.  J Pers Assess. 1991;56(2):227-237.PubMedGoogle ScholarCrossref
86.
Herzog  DB, Borus  JF, Hamburg  P, Ott  IL, Concus  A.  Substance use, eating behaviors, and social impairment of medical students.  J Med Educ. 1987;62(8):651-657.PubMedGoogle Scholar
87.
Hirata  FC, Lima  MCO, de Bruin  VMS, Nóbrega  PR, Wenceslau  GP, de Bruin  PFC.  Depression in medical school: the influence of morningness-eveningness.  Chronobiol Int. 2007;24(5):939-946.PubMedGoogle ScholarCrossref
88.
Honney  K, Buszewicz  M, Coppola  W, Griffin  M.  Comparison of levels of depression in medical and non-medical students.  Clin Teach. 2010;7(3):180-184.PubMedGoogle ScholarCrossref
89.
Ibrahim  MB, Abdelreheem  MH.  Prevalence of anxiety and depression among medical and pharmaceutical students in Alexandria University.  Alex J Med. 2015;51(2):167-173.Google ScholarCrossref
90.
Ibrahim  N, Al-Kharboush  D, El-Khatib  L, Al-Habib  A, Asali  D.  Prevalence and predictors of anxiety and depression among female medical students in King Abdulaziz University, Jeddah, Saudi Arabia.  Iran J Public Health. 2013;42(7):726-736.PubMedGoogle Scholar
91.
Ibrahim  NKR, Battarjee  WF, Almehmadi  SA.  Prevalence and predictors of irritable bowel syndrome among medical students and interns in King Abdulaziz University, Jeddah.  Libyan J Med. 2013;8:21287.PubMedGoogle Scholar
92.
Imran  N, Tariq  KF, Pervez  MI, Jawaid  M, Haider  II.  Medical students’ stress, psychological morbidity, and coping strategies: a cross-sectional study from Pakistan.  Acad Psychiatry. 2016;40(1):92-96.PubMedGoogle ScholarCrossref
93.
Inam  SNB, Saqib  A, Alam  E.  Prevalence of anxiety and depression among medical students of private university.  J Pak Med Assoc. 2003;53(2):44-47.PubMedGoogle Scholar
94.
Inam  SB.  Anxiety and depression among students of a medical college in Saudi Arabia.  Int J Health Sci (Qassim). 2007;1(2):295-300.PubMedGoogle Scholar
95.
Iqbal  S, Gupta  S, Venkatarao  E.  Stress, anxiety & depression among medical undergraduate students & their socio-demographic correlates.  Indian J Med Res. 2015;141(3):354-357.PubMedGoogle ScholarCrossref
96.
Jackson  ER, Shanafelt  TD, Hasan  O, Satele  DV, Dyrbye  LN.  Burnout and alcohol abuse/dependence among US medical students.  Acad Med. 2016;91(9):1251-1256.PubMedGoogle ScholarCrossref
97.
Jadoon  NA, Yaqoob  R, Raza  A, Shehzad  MA, Zeshan  SC.  Anxiety and depression among medical students: a cross-sectional study.  J Pak Med Assoc. 2010;60(8):699-702.PubMedGoogle Scholar
98.
James  D, Yates  J, Ferguson  E.  Can the 12-item General Health Questionnaire be used to identify medical students who might “struggle” on the medical course? a prospective study on two cohorts.  BMC Med Educ. 2013;13:48.PubMedGoogle ScholarCrossref
99.
Jeong  Y, Kim  JY, Ryu  JS, Lee  KE, Ha  EH, Park  H.  The associations between social support, health-related behaviors, socioeconomic status and depression in medical students.  Epidemiol Health. 2010;32:e2010009.PubMedGoogle ScholarCrossref
100.
Jurkat  HB, Richter  L, Cramer  M,  et al.  Depression and stress management in medical students: a comparative study between freshman and advanced medical students [in German].  Nervenarzt. 2011;82(5):646-652.PubMedGoogle ScholarCrossref
101.
Karaoǧlu  N, Şeker  M.  Anxiety and depression levels of preclinic years’ medical students and probable effective factors.  Turk Silahlı Kuvvetleri Koruyucu Hekim Bul. 2011;10(3):303-312.Google Scholar
102.
Kaya  M, Genç  M, Kaya  B, Pehlivan  E.  Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students [in Turkish].  Turk Psikiyatri Derg. 2007;18(2):137-146.PubMedGoogle Scholar
103.
Khan  MA, Haider  Z, Khokhar  M.  Anxiety and depression in 3rd year MBBS students of CMH Lahore Medical College, Lahore, Pakistan.  Rawal Med J. 2015;40(1):21-23.Google Scholar
104.
Kim  B, Roh  H.  Depressive symptoms in medical students: prevalence and related factors.  Korean J Med Educ. 2014;26(1):53-58.PubMedGoogle ScholarCrossref
105.
Kohls  N, Büssing  A, Sauer  S,  et al.  Psychological distress in medical students—a comparison of the universities of Munich and Witten/Herdecke [in German].  Z Psychosom Med Psychother. 2012;58(4):409-416.PubMedGoogle Scholar
106.
Kongsomboon  K.  Psychological problems and overweight in medical students compared to students from Faculty of Humanities, Srinakharinwirot University, Thailand.  J Med Assoc Thai. 2010;93(suppl 2):S106-S113.PubMedGoogle Scholar
107.
Kötter  T, Tautphäus  Y, Scherer  M, Voltmer  E.  Health-promoting factors in medical students and students of science, technology, engineering, and mathematics: design and baseline results of a comparative longitudinal study.  BMC Med Educ. 2014;14:134.PubMedGoogle ScholarCrossref
108.
Kulsoom  B, Afsar  NA.  Stress, anxiety, and depression among medical students in a multiethnic setting.  Neuropsychiatr Dis Treat. 2015;11:1713-1722.PubMedGoogle Scholar
109.
Lapinski  J, Yost  M, Sexton  P, LaBaere  RJ  II.  Factors modifying burnout in osteopathic medical students.  Acad Psychiatry. 2016;40(1):55-62.PubMedGoogle ScholarCrossref
110.
Liao  Y, Knoesen  NP, Castle  DJ,  et al.  Symptoms of disordered eating, body shape, and mood concerns in male and female Chinese medical students.  Compr Psychiatry. 2010;51(5):516-523.PubMedGoogle ScholarCrossref
111.
Lupo  MK, Strous  RD.  Religiosity, anxiety and depression among Israeli medical students.  Isr Med Assoc J. 2011;13(10):613-618.PubMedGoogle Scholar
112.
MacLean  L, Booza  J, Balon  R.  The impact of medical school on student mental health.  Acad Psychiatry. 2016;40(1):89-91.PubMedGoogle ScholarCrossref
113.
Manaf  NA, Saravanan  C, Zuhrah  B.  The prevalence and inter-relationship of negative body image perception, depression and susceptibility to eating disorders among female medical undergraduate students.  J Clin Diagn Res. 2016;10(3):VC01-VC04.PubMedGoogle Scholar
114.
Mancevska  S, Bozinovska  L, Tecce  J, Pluncevik-Gligoroska  J, Sivevska-Smilevska  E.  Depression, anxiety and substance use in medical students in the Republic of Macedonia.  Bratisl Lek Listy. 2008;109(12):568-572.PubMedGoogle Scholar
115.
Marakoğlu  K, Çívi  S, Şahsivar  Ş, Özdemír  S.  The relationship between smoking status and depression prevalence among first and second year medical students.  Bağimlik Dergisi. 2006;7(3):129-134.Google Scholar
116.
Marwat  MA.  Prevalence of depression and the use of antidepressants among third year medical students of Khyber Medical College, Peshawar.  J Postgrad Med Inst. 2013;27(1):26-28.Google Scholar
117.
Matheson  KM, Barrett  T, Landine  J, McLuckie  A, Soh  NL-W, Walter  G.  Experiences of psychological distress and sources of stress and support during medical training: a survey of medical students.  Acad Psychiatry. 2016;40(1):63-68.PubMedGoogle ScholarCrossref
118.
Mayda  AS, Şen  M, Tekeli̇  AH, Sayan  S, Sirakaya  N.  The frequency of depressive symptoms in students of the Medical School of Düzce University and its relationship with the dominant hand [in Turkish].  Gazi Med J. 2010;21(1).Google Scholar
119.
Mehanna  Z, Richa  S.  Prevalence of anxiety and depressive disorders in medical students: transversal study in medical students in the Saint-Joseph University of Beirut [in French].  Encephale. 2006;32(6 pt 1):976-982.PubMedGoogle ScholarCrossref
120.
Melo-Carrillo  A, Van Oudenhove  L, Lopez-Avila  A.  Depressive symptoms among Mexican medical students: high prevalence and the effect of a group psychoeducation intervention.  J Affect Disord. 2012;136(3):1098-1103.PubMedGoogle ScholarCrossref
121.
Miletic  V, Lukovic  JA, Ratkovic  N, Aleksic  D, Grgurevic  A.  Demographic risk factors for suicide and depression among Serbian medical school students.  Soc Psychiatry Psychiatr Epidemiol. 2015;50(4):633-638.PubMedGoogle ScholarCrossref
122.
Mojs  EH, Warchoł-Biedermann  K, Głowacka  MDD, Strzelecki  W, Ziemska  B, Samborski  W.  Are students prone to depression and suicidal thoughts?  Arch Med Sci. 2015;11(3):605-611.PubMedGoogle ScholarCrossref
123.
Mosley  TH  Jr, Perrin  SG, Neral  SM, Dubbert  PM, Grothues  CA, Pinto  BM.  Stress, coping, and well-being among third-year medical students.  Acad Med. 1994;69(9):765-767.PubMedGoogle ScholarCrossref
124.
Mousa  OY, Dhamoon  MS, Lander  S, Dhamoon  AS.  The MD blues: under-recognized depression and anxiety in medical trainees.  PLoS One. 2016;11(6):e0156554.PubMedGoogle ScholarCrossref
125.
Naja  WJ, Kansoun  AH, Haddad  RS.  Prevalence of depression in medical students at the Lebanese University and exploring its correlation with Facebook relevance: a questionnaire study.  JMIR Res Protoc. 2016;5(2):e96.PubMedGoogle ScholarCrossref
126.
Nasioudis  D, Palaiodimos  L, Dagiasis  M, Katsarou  A, Ntouros  E.  Depression in military medicine cadets: a cross-sectional study.  Mil Med Res. 2015;2(1):28.PubMedGoogle ScholarCrossref
127.
Nava  FR, Tafoya  SA, Heinze  G.  A comparative study on depression and associated factors between medical 375 students of first and last academic years [in Spanish].  Salud Ment. 2013;36(5):375-379.Google ScholarCrossref
128.
Oku  A, Oku  O, Owoaje  E, Monjok  E.  An assessment of mental health status of undergraduate medical trainees in the University of Calabar, Nigeria: a cross-sectional study.  Open Access Maced J Med Sci. 2015;3(2):356-362.PubMedGoogle ScholarCrossref
129.
Pan  X-F, Wen  Y, Zhao  Y,  et al.  Prevalence of depressive symptoms and its correlates among medical students in China: a national survey in 33 universities.  Psychol Health Med. 2016;21(7):882-889.PubMedGoogle ScholarCrossref
130.
Paro  HBMS, Morales  NMO, Silva  CHM,  et al.  Health-related quality of life of medical students.  Med Educ. 2010;44(3):227-235.PubMedGoogle ScholarCrossref
131.
Peleg-Sagy  T, Shahar  G.  Depression and sexual satisfaction among female medical students: surprising findings from a pilot study.  Psychiatry. 2012;75(2):167-175.PubMedGoogle ScholarCrossref
132.
Pereyra-Elías  R, Ocampo-Mascaró  J, Silva-Salazar  V,  et al.  Prevalence and associated factors with depressive symptoms in health sciences students from a private university in Lima, Peru [in Spanish].  Rev Peru Med Exp Salud Publica. 2010;27(4):520-526.PubMedGoogle ScholarCrossref
133.
Perveen  S, Kazmi  SF, ur Rehman  A.  Relationship between negative cognitive style and depression among medical students.  J Ayub Med Coll Abbottabad. 2016;28(1):94-98.PubMedGoogle Scholar
134.
Phillips  LC, Burgos  Y, Olmos  Y,  et al.  Evaluation of depressive features in medical students, his knowledge and management.  Revista del Hospital Psiquiátrico de la Habana. 2006;3(2).Google Scholar
135.
Pickard  M, Bates  L, Dorian  M, Greig  H, Saint  D.  Alcohol and drug use in second-year medical students at the University of Leeds.  Med Educ. 2000;34(2):148-150.PubMedGoogle ScholarCrossref
136.
Pillay  N, Ramlall  S, Burns  JK.  Spirituality, depression and quality of life in medical students in KwaZulu-Natal.  S Afr J Psychiatry. 2016;22(1).Google Scholar
137.
Pinzón-Amado  A, Guerrero  S, Moreno  K, Landínez  C, Pinzón  J.  Suicide ideation among medical students: pevalence and associated factors [in Spanish].  Rev Colomb Psiquiatr. 2013;43(suppl 1):47-55.PubMedGoogle ScholarCrossref
138.
Rab  F, Mamdou  R, Nasir  S.  Rates of depression and anxiety among female medical students in Pakistan.  East Mediterr Health J. 2008;14(1):126-133.PubMedGoogle Scholar
139.
Ristić-Ignjatović  D, Hinić  D, Jakovljević  M, Fountoulakis  K, Siepera  M, Rancić  N.  A ten-year study of depressive symptoms in Serbian medical students.  Acta Clin Croat. 2013;52(2):157-163.PubMedGoogle Scholar
140.
Rizvi  F, Qureshi  A, Rajput  A, Afzal  M.  Prevalence of depression, anxiety and stress (by DASS scoring system) among medical students in Islamabad, Pakistan.  Br J Med Med Res. 2015;8(1):69-75.Google ScholarCrossref
141.
Roh  M-S, Jeon  HJ, Kim  H, Cho  HJ, Han  SK, Hahm  B-J.  Factors influencing treatment for depression among medical students: a nationwide sample in South Korea.  Med Educ. 2009;43(2):133-139.PubMedGoogle ScholarCrossref
142.
Romo-Nava  F, Tafoya  SA, Gutiérrez-Soriano  J,  et al.  The association between chronotype and perceived academic stress to depression in medical students [published online August 31, 2016].  Chronobiol Int. doi:10.1080/07420528.2016.1217230PubMedGoogle Scholar
143.
Saeed  AA, Bahnassy  AA, Al-Hamdan  NA, Almudhaibery  FS, Alyahya  AZ.  Perceived stress and associated factors among medical students.  J Family Community Med. 2016;23(3):166-171.PubMedGoogle ScholarCrossref
144.
Samaranayake  CB, Fernando  AT.  Satisfaction with life and depression among medical students in Auckland, New Zealand.  N Z Med J. 2011;124(1341):12-17.PubMedGoogle Scholar
145.
Saravanan  C, Wilks  R.  Medical students’ experience of and reaction to stress: the role of depression and anxiety.  Sci World J. doi:10.1155/2014/737382Google Scholar
146.
Schwenk  TL, Davis  L, Wimsatt  LA.  Depression, stigma, and suicidal ideation in medical students.  JAMA. 2010;304(11):1181-1190.PubMedGoogle ScholarCrossref
147.
Serra  RD, Dinato  SLM, Caseiro  MM.  Prevalence of depressive and anxiety symptoms in medical students in the city of Santos.  J Bras Psiquiatr. 2015;64(3):213-220.Google ScholarCrossref
148.
Seweryn  M, Tyrała  K, Kolarczyk-Haczyk  A, Bonk  M, Bulska  W, Krysta  K.  Evaluation of the level of depression among medical students from Poland, Portugal and Germany.  Psychiatr Danub. 2015;27(suppl 1):S216-S222.PubMedGoogle Scholar
149.
Shah  AA, Bazargan-Hejazi  S, Lindstrom  RW, Wolf  KE.  Prevalence of at-risk drinking among a national sample of medical students.  Subst Abus. 2009;30(2):141-149.PubMedGoogle ScholarCrossref
150.
Vahdat Shariatpanaahi  M, Vahdat Shariatpanaahi  Z, Moshtaaghi  M, Shahbaazi  SH, Abadi  A.  The relationship between depression and serum ferritin level.  Eur J Clin Nutr. 2007;61(4):532-535.PubMedGoogle Scholar
151.
Shen  L, Kong  H, Hou  X.  Prevalence of irritable bowel syndrome and its relationship with psychological stress status in Chinese university students.  J Gastroenterol Hepatol. 2009;24(12):1885-1890.PubMedGoogle ScholarCrossref
152.
Sherina  MS, Rampal  L, Kaneson  N.  Psychological stress among undergraduate medical students.  Med J Malaysia. 2004;59(2):207-211.PubMedGoogle Scholar
153.
Shi  M, Liu  L, Wang  ZY, Wang  L.  Prevalence of depressive symptoms and its correlations with positive psychological variables among Chinese medical students: an exploratory cross-sectional study.  BMC Psychiatry. 2016;16:3.PubMedGoogle ScholarCrossref
154.
Shi  M, Liu  L, Yang  Y-L, Wang  L.  The mediating role of self-esteem in the relationship between big five personality traits and depressive symptoms among Chinese undergraduate medical students.  Pers Individ Dif. 2015;83:55-59.Google ScholarCrossref
155.
Shindel  AW, Eisenberg  ML, Breyer  BN, Sharlip  ID, Smith  JF.  Sexual function and depressive symptoms among female North American medical students.  J Sex Med. 2011;8(2):391-399.PubMedGoogle ScholarCrossref
156.
Sidana  S, Kishore  J, Ghosh  V, Gulati  D, Jiloha  R, Anand  T.  Prevalence of depression in students of a medical college in New Delhi: a cross-sectional study.  Australas Med J. 2012;5(5):247-250.PubMedGoogle ScholarCrossref
157.
Smith  CK, Peterson  DF, Degenhardt  BF, Johnson  JC.  Depression, anxiety, and perceived hassles among entering medical students.  Psychol Health Med. 2007;12(1):31-39.PubMedGoogle ScholarCrossref
158.
Smith  JF, Breyer  BN, Eisenberg  ML, Sharlip  ID, Shindel  AW.  Sexual function and depressive symptoms among male North American medical students.  J Sex Med. 2010;7(12):3909-3917.PubMedGoogle ScholarCrossref
159.
Smith  JF, Breyer  BN, Shindel  AW.  Predictors of sexual bother in a population of male North American medical students.  J Sex Med. 2011;8(12):3363-3369.PubMedGoogle ScholarCrossref
160.
Sobowale  K, Zhou  N, Fan  J, Liu  N, Sherer  R.  Depression and suicidal ideation in medical students in China: a call for wellness curricula.  Int J Med Educ. 2014;5:31-36.PubMedGoogle ScholarCrossref
161.
Sreeramareddy  CT, Shankar  PR, Binu  VS, Mukhopadhyay  C, Ray  B, Menezes  RG.  Psychological morbidity, sources of stress and coping strategies among undergraduate medical students of Nepal.  BMC Med Educ. 2007;7:26.PubMedGoogle ScholarCrossref
162.
Sun  L, Sun  L-N, Sun  Y-H,  et al.  Correlations between psychological symptoms and social relationships among medical undergraduates in Anhui Province of China.  Int J Psychiatry Med. 2011;42(1):29-47.PubMedGoogle ScholarCrossref
163.
Tang  Q-S.  Mental survey in female students from a medical college of Guangxi during the epidemic period of severe acute respiratory syndrome.  Chin J Clin Rehabil. 2005;9(32):90-91.Google Scholar
164.
Thomas  MR, Dyrbye  LN, Huntington  JL,  et al.  How do distress and well-being relate to medical student empathy? a multicenter study.  J Gen Intern Med. 2007;22(2):177-183.PubMedGoogle ScholarCrossref
165.
Thompson  D, Goebert  D, Takeshita  J.  A program for reducing depressive symptoms and suicidal ideation in medical students.  Acad Med. 2010;85(10):1635-1639.PubMedGoogle ScholarCrossref
166.
Thompson  G, McBride  RB, Hosford  CC, Halaas  G.  Resilience among medical students: the role of coping style and social support.  Teach Learn Med. 2016;28(2):174-182.PubMedGoogle ScholarCrossref
167.
Tan  ST, Sherina  MS, Rampal  L, Normala  I.  Prevalence and predictors of suicidality among medical students in a public university.  Med J Malaysia. 2015;70(1):1-5.PubMedGoogle Scholar
168.
Tjia  J, Givens  JL, Shea  JA.  Factors associated with undertreatment of medical student depression.  J Am Coll Health. 2005;53(5):219-224.PubMedGoogle ScholarCrossref
169.
Valle  R, Sánchez  E, Perales  A.  Depressive symptomatology and alcohol-related problems during the academic training of medical students [in Spanish].  Rev Peru Med Exp Salud Publica. 2013;30(1):54-57.PubMedGoogle ScholarCrossref
170.
Vankar  JR, Prabhakaran  A, Sharma  H.  Depression and stigma in medical students at a private medical college.  Indian J Psychol Med. 2014;36(3):246-254.PubMedGoogle ScholarCrossref
171.
Vaysse  B, Gignon  M, Zerkly  S, Ganry  O.  Alcohol, tobacco, cannabis, anxiety and depression among second-year medical students: identify in order to act [in French].  Sante Publique. 2014;26(5):613-620.PubMedGoogle Scholar
172.
Voltmer  E, Kötter  T, Spahn  C.  Perceived medical school stress and the development of behavior and experience patterns in German medical students.  Med Teach. 2012;34(10):840-847.PubMedGoogle ScholarCrossref
173.
Waqas  A, Rehman  A, Malik  A, Muhammad  U, Khan  S, Mahmood  N.  Association of ego defense mechanisms with academic performance, anxiety and depression in medical students: a mixed methods study.  Cureus. 2015;7(9):e337.PubMedGoogle Scholar
174.
Wege  N, Muth  T, Li  J, Angerer  P.  Mental health among currently enrolled medical students in Germany.  Public Health. 2016;132:92-100.PubMedGoogle ScholarCrossref
175.
Wimsatt  LA, Schwenk  TL, Sen  A.  Predictors of depression stigma in medical students: potential targets for prevention and education.  Am J Prev Med. 2015;49(5):703-714.PubMedGoogle ScholarCrossref
176.
Wolf  MR, Rosenstock  JB.  Inadequate sleep and exercise associated with burnout and depression among medical students.  Acad Psychiatry. doi:10.1007/s40596-016-0526-yGoogle Scholar
177.
Wongpakaran  N, Wongpakaran  T.  The Thai version of the PSS-10: an investigation of its psychometric properties [published online June 12, 2010].  Biopsychosoc Med. doi:10.1186/1751-0759-4-6PubMedGoogle Scholar
178.
Yilmaz  Y, Vural  E, Toprak  DE,  et al.  The relationship between medical education and eating habits along with mental condition in medical students.  Erciyes Tip Derg. 2014;36(2):75-81.Google ScholarCrossref
179.
Yoon  S, Lee  Y, Han  C,  et al.  Usefulness of the Patient Health Questionnaire-9 for Korean medical students.  Acad Psychiatry. 2014;38(6):661-667.PubMedGoogle ScholarCrossref
180.
Youssef  FF.  Medical student stress, burnout and depression in Trinidad and Tobago.  Acad Psychiatry. 2016;40(1):69-75.PubMedGoogle ScholarCrossref
181.
Yusoff  MSB.  Associations of pass-fail outcomes with psychological health of first-year medical students in a Malaysian medical school.  Sultan Qaboos Univ Med J. 2013;13(1):107-114.PubMedGoogle ScholarCrossref
182.
Zeldow  PB, Daugherty  SR, Clark  DC.  Masculinity, femininity, and psychosocial adjustment in medical students: a 2-year follow-up.  J Pers Assess. 1987;51(1):3-14.PubMedGoogle ScholarCrossref
183.
Zoccolillo  M, Murphy  GE, Wetzel  RD.  Depression among medical students.  J Affect Disord. 1986;11(1):91-96.PubMedGoogle ScholarCrossref
184.
Eller  T, Aluoja  A, Vasar  V, Veldi  M.  Symptoms of anxiety and depression in Estonian medical students with sleep problems.  Depress Anxiety. 2006;23(4):250-256.PubMedGoogle ScholarCrossref
185.
Ahmed  SA, Omar  QH, Abo Elamaim  AA.  Forensic analysis of suicidal ideation among medical students of Egypt: a cross sectional study.  J Forensic Leg Med. 2016;44:1-4.PubMedGoogle ScholarCrossref
186.
Alem  A, Araya  M, Melaku  Z, Wendimagegn  D, Abdulahi  A.  Mental distress in medical students of Addis Ababa University.  Ethiop Med J. 2005;43(3):159-166.PubMedGoogle Scholar
187.
Amiri  L, Voracek  M, Yousef  S,  et al.  Suicidal behavior and attitudes among medical students in the United Arab Emirates.  Crisis. 2013;34(2):116-123.PubMedGoogle ScholarCrossref
188.
Chen  JQ, Han  P, Dunne  MP.  Child sexual abuse: a study among 892 female students of a medical school [in Chinese].  Zhonghua Er Ke Za Zhi. 2004;42(1):39-43.PubMedGoogle Scholar
189.
Eskin  M, Voracek  M, Stieger  S, Altinyazar  V.  A cross-cultural investigation of suicidal behavior and attitudes in Austrian and Turkish medical students.  Soc Psychiatry Psychiatr Epidemiol. 2011;46(9):813-823.PubMedGoogle ScholarCrossref
190.
Khokher  S, Khan  MM.  Suicidal ideation in Pakistani college students.  Crisis. 2005;26(3):125-127.PubMedGoogle ScholarCrossref
191.
Menezes  RG, Subba  SH, Sathian  B,  et al.  Suicidal ideation among students of a medical college in Western Nepal: a cross-sectional study.  Leg Med (Tokyo). 2012;14(4):183-187.PubMedGoogle ScholarCrossref
192.
Okasha  A, Lotaif  F, Sadek  A.  Prevalence of suicidal feelings in a sample of non-consulting medical students.  Acta Psychiatr Scand. 1981;63(5):409-415.PubMedGoogle ScholarCrossref
193.
Tran  QA, Dunne  MP, Vo  TV, Luu  NH.  Adverse childhood experiences and the health of university students in eight provinces of Vietnam.  Asia Pac J Public Health. 2015;27(8)(suppl):26S-32S.PubMedGoogle ScholarCrossref
194.
Tyssen  R, Vaglum  P, Grønvold  NT, Ekeberg  O.  Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors.  J Affect Disord. 2001;64(1):69-79.PubMedGoogle ScholarCrossref
195.
Wallin  U, Runeson  B.  Attitudes towards suicide and suicidal patients among medical students.  Eur Psychiatry. 2003;18(7):329-333.PubMedGoogle ScholarCrossref
196.
Aktekin  M, Karaman  T, Senol  YY, Erdem  S, Erengin  H, Akaydin  M.  Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey.  Med Educ. 2001;35(1):12-17.PubMedGoogle ScholarCrossref
197.
Borst  JM, Frings-Dresen  MHW, Sluiter  JK.  Prevalence and incidence of mental health problems among Dutch medical students and the study-related and personal risk factors: a longitudinal study.  Int J Adolesc Med Health. 2016;28(4):349-355.PubMedGoogle ScholarCrossref
198.
Camp  DL, Hollingsworth  MA, Zaccaro  DJ, Cariaga-Lo  LD, Richards  BF.  Does a problem-based learning curriculum affect depression in medical students?  Acad Med. 1994;69(10)(suppl):S25-S27.PubMedGoogle ScholarCrossref
199.
Clark  DC, Zeldow  PB.  Vicissitudes of depressed mood during four years of medical school.  JAMA. 1988;260(17):2521-2528.PubMedGoogle ScholarCrossref
200.
Del-Ben  CM, Machado  VF, Madisson  MM, Resende  TL, Valério  FP, Troncon  LEDA.  Relationship between academic performance and affective changes during the first year at medical school.  Med Teach. 2013;35(5):404-410.PubMedGoogle ScholarCrossref
201.
Guthrie  E, Black  D, Bagalkote  H, Shaw  C, Campbell  M, Creed  F.  Psychological stress and burnout in medical students: a five-year prospective longitudinal study.  J R Soc Med. 1998;91(5):237-243.PubMedGoogle Scholar
202.
Levine  RE, Litwins  SD, Frye  AW.  An evaluation of depressed mood in two classes of medical students.  Acad Psychiatry. 2006;30(3):235-237.PubMedGoogle ScholarCrossref
203.
Ludwig  AB, Burton  W, Weingarten  J, Milan  F, Myers  DC, Kligler  B.  Depression and stress amongst undergraduate medical students.  BMC Med Educ. 2015;15:141.PubMedGoogle ScholarCrossref
204.
Newbury-Birch  D, Walshaw  D, Kamali  F.  Drink and drugs: from medical students to doctors.  Drug Alcohol Depend. 2001;64(3):265-270.PubMedGoogle ScholarCrossref
205.
Peleg-Sagy  T, Shahar  G.  The prospective associations between depression and sexual satisfaction among female medical students.  J Sex Med. 2013;10(7):1737-1743.PubMedGoogle ScholarCrossref
206.
Quince  TA, Wood  DF, Parker  RA, Benson  J.  Prevalence and persistence of depression among undergraduate medical students: a longitudinal study at one UK medical school.  BMJ Open. 2012;2(4):e001519.PubMedGoogle ScholarCrossref
207.
Rosal  MC, Ockene  IS, Ockene  JK, Barrett  SV, Ma  Y, Hebert  JR.  A longitudinal study of students’ depression at one medical school.  Acad Med. 1997;72(6):542-546.PubMedGoogle ScholarCrossref
208.
Vitaliano  PP, Maiuro  RD, Russo  J, Mitchell  ES, Carr  JE, Van Citters  RL.  A biopsychosocial model of medical student distress.  J Behav Med. 1988;11(4):311-331.PubMedGoogle ScholarCrossref
209.
Walkiewicz  M, Tartas  M, Majkowicz  M, Budzinski  W.  Academic achievement, depression and anxiety during medical education predict the styles of success in a medical career: a 10-year longitudinal study.  Med Teach. 2012;34(9):e611-e619.PubMedGoogle ScholarCrossref
210.
Yusoff  MSB, Abdul Rahim  AF, Baba  AA, Ismail  SB, Mat Pa  MN, Esa  AR.  The impact of medical education on psychological health of students: a cohort study.  Psychol Health Med. 2013;18(4):420-430.PubMedGoogle ScholarCrossref
211.
Clarke  DM, Currie  KC.  Depression, anxiety and their relationship with chronic diseases: a review of the epidemiology, risk and treatment evidence.  Med J Aust. 2009;190(7)(suppl):S54-S60.PubMedGoogle Scholar
212.
Glassman  AH, Shapiro  PA.  Depression and the course of coronary artery disease.  Am J Psychiatry. 1998;155(1):4-11.PubMedGoogle ScholarCrossref
213.
Mata  DA, Ramos  MA, Kim  MM, Guille  C, Sen  S.  In their own words: an analysis of the experiences of medical interns participating in a prospective cohort study of depression.  Acad Med. 2016;91(9):1244-1250.PubMedGoogle ScholarCrossref
214.
West  CP, Huschka  MM, Novotny  PJ,  et al.  Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study.  JAMA. 2006;296(9):1071-1078.PubMedGoogle ScholarCrossref
215.
Fahrenkopf  AM, Sectish  TC, Barger  LK,  et al.  Rates of medication errors among depressed and burnt out residents: prospective cohort study.  BMJ. 2008;336(7642):488-491.PubMedGoogle ScholarCrossref
216.
West  CP, Tan  AD, Habermann  TM, Sloan  JA, Shanafelt  TD.  Association of resident fatigue and distress with perceived medical errors.  JAMA. 2009;302(12):1294-1300.PubMedGoogle ScholarCrossref
217.
Williams  JW  Jr, Pignone  M, Ramirez  G, Perez Stellato  C.  Identifying depression in primary care: a literature synthesis of case-finding instruments.  Gen Hosp Psychiatry. 2002;24(4):225-237.PubMedGoogle ScholarCrossref
218.
Myers  M.  On the importance of anonymity in surveying medical student depression.  Acad Psychiatry. 2003;27(1):19-20.PubMedGoogle ScholarCrossref
219.
Puthran  R, Zhang  MWB, Tam  WW, Ho  RC.  Prevalence of depression amongst medical students: a meta-analysis.  Med Educ. 2016;50(4):456-468.PubMedGoogle ScholarCrossref
220.
Center for Behavioral Health Statistics and Quality. Behavioral health trends in the United States: results from the 2014 national survey on drug use and health. http://www.samhsa.gov/data/. Accessed October 31, 2016.
221.
Kessler  RC, Berglund  P, Demler  O,  et al; National Comorbidity Survey Replication.  The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R).  JAMA. 2003;289(23):3095-3105.PubMedGoogle ScholarCrossref
222.
Pratt  LA, Brody  DJ.  Depression in the US household population, 2009-2012.  NCHS Data Brief. 2014;(172):1-8.PubMedGoogle Scholar
223.
Ibrahim  AK, Kelly  SJ, Adams  CE, Glazebrook  C.  A systematic review of studies of depression prevalence in university students.  J Psychiatr Res. 2013;47(3):391-400.PubMedGoogle ScholarCrossref
224.
Eisenberg  D, Gollust  SE, Golberstein  E, Hefner  JL.  Prevalence and correlates of depression, anxiety, and suicidality among university students.  Am J Orthopsychiatry. 2007;77(4):534-542.PubMedGoogle ScholarCrossref
225.
Steptoe  A, Tsuda  A, Tanaka  Y, Wardle  J.  Depressive symptoms, socio-economic background, sense of control, and cultural factors in university students from 23 countries.  Int J Behav Med. 2007;14(2):97-107.PubMedGoogle ScholarCrossref
226.
Krill  PR, Johnson  R, Albert  L.  The prevalence of substance use and other mental health concerns among American attorneys.  J Addict Med. 2016;10(1):46-52.PubMedGoogle ScholarCrossref
227.
Brain and Mind Research Institute, Tristan Jepson Memorial Foundation. Courting the blues: attitudes towards depression in Australian law students and legal practitioners. http://trove.nla.gov.au/work/31619934?selectedversion=NBD44322895. Accessed October 31, 2016.
228.
Simon  GE, Rutter  CM, Peterson  D,  et al.  Does response on the PHQ-9 depression questionnaire predict subsequent suicide attempt or suicide death?  Psychiatr Serv. 2013;64(12):1195-1202.PubMedGoogle ScholarCrossref
229.
von Elm  E, Altman  DG, Egger  M, Pocock  SJ, Gøtzsche  PC, Vandenbroucke  JP; STROBE Initiative.  The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.  Lancet. 2007;370(9596):1453-1457.PubMedGoogle ScholarCrossref
230.
Williams  DE.  The future of medical education: flipping the classroom and education technology.  Ochsner J. 2016;16(1):14-15.PubMedGoogle Scholar
231.
Spring  L, Robillard  D, Gehlbach  L, Simas  TAM.  Impact of pass/fail grading on medical students’ well-being and academic outcomes.  Med Educ. 2011;45(9):867-877.PubMedGoogle ScholarCrossref
232.
Mata  DA, Lin  JS, Ramos  MA.  Can we predict future depression in residents before the start of clinical training?  Med Educ. 2015;49(7):741-742.PubMedGoogle ScholarCrossref
233.
Rosenthal  JM, Okie  S.  White coat, mood indigo—depression in medical school.  N Engl J Med. 2005;353(11):1085-1088.PubMedGoogle ScholarCrossref
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